NPIMap

Organization Active NPI

Tonic Chiropractic LLC

  • Chiropractor
  • Mandeville, LA
National Provider Identifier
1790095818
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1388 Issued in LA
Legal business name
TONIC CHIROPRACTIC LLC
Practice address
1357 N Causeway Blvd
Ste 2
Mandeville, LA 70471-3408
Phone
(985) 778-0880
Fax
(985) 778-0882
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shelley Radosta, DC
Title
Doctor
Phone
(985) 778-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1388 LA Primary

Addresses

Primary practice location

1357 N Causeway Blvd
Ste 2
Mandeville, LA 70471-3408

Mailing address

1357 N Causeway Blvd
Ste 2
Mandeville, LA 70471-3408
Phone (985) 778-0880

National Provider Directory

National Provider Directory

Locations

1357 N Causeway Blvd
Ste 2
Mandeville, LA 70471
Phone (985) 778-0880

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1790095818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 N CAUSEWAY BLVD",
            "address_2": "STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713408",
            "telephone_number": "985-778-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 N CAUSEWAY BLVD",
            "address_2": "STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713408",
            "telephone_number": "985-778-0880",
            "fax_number": "985-778-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONIC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "RADOSTA",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "985-778-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.